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Table 3 Resident Perceptions of Culture and Duty Hour Violations

From: Perceptions of the 2011 ACGME duty hour requirements among residents in all core programs at a large academic medical center

Survey Question Response, No. (%)
The ACGME duty hour rules are respected at my institution (n = 390)
 Strongly agree 235 (60)
 Agree 128 (33)
 Disagree 21 (5)
 Strongly disagree 6 (2)
The ACGME duty hour rules are consistently reflected in my work schedule (n = 390)
 Strongly agree 224 (57)
 Agree 143 (37)
 Disagree 19 (5)
 Strongly disagree 4 (1)
The ACGME duty hour rules are enforced at my institution (n = 390)
 Strongly agree 235 (60)
 Agree 134 (34)
 Disagree 16 (4)
 Strongly disagree 5 (1)
During the past year, I have exceeded the 28-h maximum work hour requirement (24 h continuous duty +4 h for transition of care) (n = 390)
 Frequently 10 (3)
 Occasionally 22 (6)
 Rarely 56 (14)
 Never 302 (77)
During the past year, I have exceeded the 80-h maximum weekly hour limit (n = 382)
 Frequently 11 (3)
 Occasionally 31 (8)
 Rarely 79 (21)
 Never 261 (68)
During the past year, I failed to have 1 day per week free of duty (averaged over 4 wk) (n = 389)
 Frequently 14 (4)
 Occasionally 16 (4)
 Rarely 24 (6)
 Never 335 (86)
Are there situations in which you believe it would be appropriate to violate duty hour rules? (n = 386)
 Yes 307 (80)
 No 79 (20)
Have you ever been asked to violate duty hour rules? (n = 388)
 Yes 25 (6)
 No 363 (94)
If so, by whom were you asked to violate duty hour rules? (n = 26)
 Peer 2 (8)
 Senior resident 7 (27)
 Attending physician 12 (46)
 Other 5 (19)
  1. Abbreviation: ACGME Accreditation Council for Graduate Medical Education